Continuity hospital-territory and community hospitals
The reorganization of the hospital network envisaged by this document requires the strengthening of the territorial structures in order to guarantee full coverage of care needs. In this sense, the provision is limited to providing information only in relation to intermediate structures, in particular to the so-called Community Hospitals. These structures must have 15-20 beds managed by nurses, with medical assistance guaranteed by general practitioners and pediatricians of free choice. The expected average hospital stay is 15-20 days urgent care san antonio.
Three types of safeguards are defined:
Basic hospital facilities (catchment area 80,000 – 150,000 inhabitants), equipped with First Aid and the following specialties: Internal Medicine, General Surgery, Orthopedics, Anesthesia and support services in the active guard network and / or in a ready availability regime on 24 hours of Radiology, Laboratory, Blood Bank. They must also be equipped with “Intensive Brief Observation” beds.
Level I hospitals (catchment area 150,000-300,000 inhabitants), equipped with the following specialties in addition to those present in the basic aids: Obstetrics and Gynecology (if required by number of births / year), Pediatrics, Cardiology with Intensive Care Unit Cardiology (UTIC), Neurology, Psychiatry, Oncology, Ophthalmology, Otolaryngology, Urology.
Second level hospitals (catchment area 600,000-1,200,000 inhabitants), equipped with second-level AEDs and structures that also apply to the most complex disciplines.
According to higher hispitals, the non-presence of the specialty of Cardiology in basic hospitals would cancel 581 Cardiology facilities out of 823.
Indeed, the only specialty present in basic hospitals (in addition to General Medicine and Emergency-Urgency, General Surgery and Anesthesia) is Orthopedics.
Analyzing the accesses to the PS of any hospital we will see that the majority will be due to trauma. This data could justify the presence of the sole specialty of Orthopedics in basic hospitals but to give a more correct response to the health needs of citizens, the data of the yellow and red codes should be analyzed, an analysis that would lead to find an important number of cases of a cardiological nature, while many accesses for (small) traumas do not require the presence of the orthopedist, but possibly a deferred consultation on the radiological image. In this regard, we present a slide by Giovannino Ciccone of the Piedmont CPO relating to the First Aid of the entire Piedmont Region in 2020.
